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HomeMy WebLinkAboutHomestead_Fichtinger INDIANA SALES DISCLOSURE FORD? SDF ID: Page 2 D PREPARER`- , �� ---' ----- r -- —_ _ - Karen Harbison VP Preparer of the Soles Disclosure Form Title 803 E State RD 68 Haubstadt Slate Bank Address(Number and Street) Company Haubstadt IN 47639 812-768-5800 kharbison(aesbanc.com City,State,and ZIPCode Telephone Number E-mail '_EiSELLER(S)/GRANTOR(S)_ _-_-_ '- -- fnhn A Barnett 1 aura A Barnett Seller I-Name as appears on conveyance document Seller 2-Name as appears on conveyance document 5561 S Lincoln 5561 S I innnln Address(Number and Street) Address(Number and Street) Oakland City IN 47660 Oakland City IN 47660 Telephone Number Email Under penalties of perjury,1 hereby certify that this Sales Disclosure,to the t ,st of my knowledge and belief,is true,correct and c mple[• as required bylaw,and is prepared in accordance with 1 6- 5.5,"Real Prop• Sales Disclosure Act a air -' ��� e, Seller a- John , c- e t 07/05/2013 J aura A Barnett 07/05/2013 Printed Natne of Seller Sian Date[MM/oo/1'Y1'VI Printed Name of Seller Sian Dare IM.4/DO/YYYII F.BUYER(S)/GRANTEE(S)=APPLICATION_FOR'PROPERT,YTAX,DEDUC-TIONS'-_IDENTIFY.ACI ITEMS'THATAP.PLY,,.t >�_ ', -_- ,_ Robert M Fichtinger Mary K Fichtinger Buyer I-Name as appears on conveyance document Buyer 2-Name as appears on conveyance document 10311 S Pheasant Run 10311 S Pheasant Run -- _ Address(Number and Street) Address(Number and Street) Haubstadt. IN 47639 Haubstadt, IN 47639 Telephone Number E-mail THE SALES DISCLOSURE FORM MAY BE USED TO APPLY FOR CERTAIN DEDUCTIONS FOR THIS PROPERTY. IDENTIFY ALL OF THOSE THAT APPLY. YES NO CONDITION I YES NO CONDITION 0 ❑ 1.Will this property be the buyer's primary Q ❑ 3.Homestead residence? Provide complete address of primary ❑ © 4.Solar Energy Heating/Cooling System residence,including county: ❑ tOt S Polk S[ S.Wind Power Device Address(Number and Street) ❑ Q 6.Hydroelectric Power Device Ft Branch. IN 47648 Gibson ❑ 0 7.Geothermal Energy Heating/Cooling Device City.State ZIP Code County 0 ❑ 2.Does the buyer have a homestead in Indiana to be ❑ 8.Is this property a residential rental property? vacated for thisresidence? If yes,provide ❑ 0 9.Would you like to receive tae statements for this __ complete address of residence being vacated, property via a-mail?(Provide contact information - including county: below.Please see instructions for more information. 10311 S Pheasant Run Not available in all counties) Address(Number and Street) Haubstadt, IN 47639 Gibson Z 1- . - 3 a 3 - OcDc3 ) Q 4 -Q City.State ZIP Code County Primary property owner contact name E-mail Under penalties of perjury,I hereby certify that this Sales Disclosure,to the best of my knowledge and belief,is true,correct and complete as required by law,and is prepared in accordance with IC 6-1.1-5.5,"Real Property Sales Disclosure Act".(Note: Spouse information,Social Security and Driver's License/Other numbers are not necessary if no Homestead Deduction is being filed.) TO-{Mra Y) lek ----_ , Al/./ �, .a41�.e Signature of Buyer] Signature of 5 eter2/Spo se